Respiratory Cases II

67 yo female with extreme respiratory distress

History

VK is a 67-year-old female who is transported by local EMS to the emergency department with extreme respiratory distress that began two hours ago. He is sweating profusely and using all of his accessory muscles to breathe. Heart rate is 114, respiratory rate is 44, temperature is 98.8o F. SpO2 is 80% with the patient breathing oxygen from a nasal cannula at 5 Lpm. He has an occasional cough productive of clear foamy secretions.

Use the Auscultation and Blood Pressure tabs for heart rate, blood pressure and lung sounds.

What is the first thing you should do with this patient?

obtain a chest filmput him on high flow oxygenobtain lab testsadminister a bronchodilator

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